Edgewood Manor
4925 Elizabeth St, Texarkana, TX 75503


Edgewood Manor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 676069. The address is 4925 Elizabeth St, Texarkana, TX 75503. The zip code is 75503. The phone number is 9037934645.


Edgewood Manor · 4925 Elizabeth St, Texarkana, TX 75503

Federal Provider Number 676069
Provider Name EDGEWOOD MANOR
Address 4925 ELIZABETH ST
TEXARKANA, TX 75503
Phone Number 9037934645
SSA County Code 170
County Name Bowie
Ownership Type For profit - Partnership
Certified Beds 110
Certified Beds Residents 69
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PINNACLE HEALTH FACILITIES XXVII, L.P.
Date First Approved to Provide Medicare Medicaid Services 12/20/2005
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.02029
Reported LPN Staffing Hours per Resident per Day 0.57754
Reported RN Staffing Hours per Resident per Day 0.75435
Reported Licensed Staffing Hours per Resident per Day 1.33188
Reported Total Nurse Staffing Hours per Resident per Day 3.35218
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00652
Expected CNA Staffing Hours per Resident per Day 2.4287
Expected LPN Staffing Hours per Resident per Day 0.68056
Expected RN Staffing Hours per Resident per Day 1.19401
Expected Total Nurse Staffing Hours per Resident per Day 4.30326
Adjusted CNA Staffing Hours per Resident per Day 2.04109
Adjusted LPN Staffing Hours per Resident per Day 0.70436
Adjusted RN Staffing Hours per Resident per Day 0.47207
Adjusted Total Nurse Staffing Hours per Resident per Day 3.14001
Cycle 1 Total Number of Health Deficiencies 19
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 7
Cycle 1 Health Deficiency Score 731
Cycle 1 Standard Survey Health Date 07/27/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 731
Cycle 2 Total Number of Health Deficiencies 21
Cycle 2 Number of Standard Health Deficiencies 16
Cycle 2 Number of Complaint Health Deficiencies 13
Cycle 2 Health Deficiency Score 925
Cycle 2 Standard Health Survey Date 09/16/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 925
Cycle 3 Total Number of Health Deficiencies 8
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 10/29/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 685.833
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 9
Number of Fines 3
Total Amount of Fines in Dollars $93990.00
Number of Payment Denials 1
Total Number of Penalties 4
Processing Date 08/01/2017

Owner or Manager · Edgewood Manor

Owner Name Role Association Date
COLLIER, JAMIE (Individual) MANAGING EMPLOYEE since 11/01/2008
PINNACLE HEALTH FACILITIES GP V, LLC (Organization) PARTNERSHIP INTEREST since 11/13/2007
PINNACLE HEALTH FACILITIES XXVII, L.P. (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2008
PREFERRED CARE PARTNERS MANAGEMENT GROUP LP (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/13/2007
SCOTT, THOMAS (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 11/13/2007
SCOTT, THOMAS (Individual) PARTNERSHIP INTEREST since 11/13/2007

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